Information in this article was made available from a guide for parents and dental providers of children with special needs developed by the Oklahoma Dental Foundation in partnership with several funders. The entire guide is available for download at: Oral Health Care For Children With Special Health Care Needs.

The following is an excerpt from page 14 of the guide.

Seizures can occur as a result of several medical issues including developmental disabilities. Seizures can occur spontaneously or as a result of stimuli, or triggers, such as certain sounds or sudden movements. A pre-appointment interview will be needed to understand the child’s seizure triggers if any. Being prepared to manage a seizure is the most important factor in providing oral care for children with seizure disorders. Knowing that the dental staff understands and is able to handle a seizure will go a long way toward building trust in the child and the family member/caregiver.

Oral Effects
Trauma
Gingival overgrowth (gingival hyperplasia)

How to manage a seizure
• Attach dental floss to instruments before dental treatment begins so they could be quickly removed if needed
• Remove instruments from the mouth and clear the area around the chair
• Do not insert any objects between the teeth during a seizure
• Stay with the child, turning him or her to one side and monitor their airway until the seizure passes
• Once passed, comfort the child and ensure they understand to the best of their ability that they are ok and the treatment will go on or stop as determined beforehand